Health Care Administration homework- 5 pages

Department of Public Health and Environment

QI Project Proposal

Project Title: Submitted by:

Explain the gap in service, efficiency or process targeted for improvement (what is the problem?):

Key project objective(s):

Project aligns with (check all that apply): Accreditation Cultural Competency Department Mission, Vision, Values Department Strategic Plan

Health Improvement Plan(s) Program Planning or Evaluation After Action Reports Other :

Explain why this project is a priority:

Has baseline data been identified to measure change? Yes No

Resources needed (financial and other) :

List the stakeholders you plan to involve:

Who should lead this team? Who should be on this QI team?

Anticipated start date: Anticipated project duration: 3 mo 6 mo 9 mo 1 yr >1yr

PIT to Complete:

Date submitted: Click here to enter a date. PIT Review Date:Click here to enter a date. Initials: Proposal: Accepted Requesting more information or modifications Denied PIT Comments: